| NPI | 1306823398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY2596) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY00002596) |
| 103G00000X Clinical Neuropsychologist (Licence: PY2596) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2013-08-16 |